NURS 221 Liberty University - Question and answers verified to pass 2024/2025 NURS 221 - HESI Practice
At what step in the procedure should the nurse don sterile gloves?
A. prior to removing the dressing on the client's hip
B. before opening the new sterile dressing package
C. before cleansi...
NURS 221 - HESI Practice
At what step in the procedure should the nurse don sterile gloves?
A. prior to removing the dressing on the client's hip
B. before opening the new sterile dressing package
C. before cleansing the client's hip incision
D. after cleansing the client's hip incision - correct answer ✔C. before
cleansing the client's hip incision
On admission, a client presents a signed living will that includes a Do Not
Resuscitate (DNR) prescription. When the client stops breathing, the nurse
performs cardiopulmonary resuscitation (CPR) and successfully revives the
client. What legal issues could be brought against the nurse?
A. Assault
B. Battery
C. Malpractice
D. False imprisonment
*Hint: the answer is equal to "unwanted touching" legally - correct answer
✔b. Battery
A client who is in hospice care complains of increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed.
Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.
,Hint*: Analgesics are less effective if pain persists. - correct answer ✔A.
Give an around-the-clock schedule for administration of analgesics.
A Sub-Saharan African widowed immigrant woman lives with her deceased
husband's brother and his family, which includes the brother-in-law's children
and the widow's adult children. Each family member speaks fluent English.
Surgery is recommended for this client. What is the best plan to obtain
consent for surgery for this client?
A. Obtain an interpreter to explain the procedure to the client
B. Encourage the client to make her own decision regarding surgery
C. Ask the family members to provide a clarification of the surgeon's
explanation to the client
D. Tell the surgeon that the brother-in-law will decide after explanation of the
proposed surgery is provided to him and the widow.
*Hint: Understand that in some cultures inheritance of wife and polygamy exist
- correct answer ✔D. Tell the surgeon that the brother-in-law will decide after
explanation of the proposed surgery is provided to him and the widow.
During a visit to the outpatient clinic, the nurse assesses a client with severe
osteoarthritis using a goniometer. Which finding should the nurse expect to
measure?
A. Adequate venous blood flow to the lower extremities.
B. Estimated amount of body fat by an underarm skinfold.
C. Degree of flexion and extension of the client's knee joint.
D. Change in the circumference of the joint in centimeters.
*Hint: A doppler is used to measure blood flow, A caliper is used to measure
body fat, a tape is used to measure the circumference, and a goniometer is
, used to measure... - correct answer ✔C. Degree of flexion and extension of
the client's knee joint.
The nurse is instructing a client with high cholesterol about diet and lifestyle
modification. What comment from the client indicates that the teaching has
been effective?
A. If I exercise at least two times weekly for one hour, I will lower my
cholesterol.
B. I need to avoid eating proteins, including red meat.
C. I will limit my intake of beef to 4 ounces per week.
D. My blood level of low density lipoproteins needs to increase.
*Hint: Exercise helps to reduce cholesterol but not every client is able to
exercise. What is every client capable of doing? - correct answer ✔C. I will
limit my intake of beef to 4 ounces per week.
An older client who is unresponsive following a cerebral vascular accident
(CVA) is receiving bolus enteral feedings through a gastrostomy tube. What is
the best position for the client for administration of the bolus tube feedings?
A. prone
B. Fowler's
C. Sims'
D. Supine
*Hint: If something is sticking into and out of your stomach, what position
would like to be in to avoid aspiration? - correct answer ✔B. Fowler's
A female client with a nasogastric tube attached to low suction states that she
is nauseated. The nurse assesses that there has been no drainage through
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